Organization
COLVILLE NATION COMMUNITY HEALTH CENTERS
Active
Other names
LAKE ROOSEVELT COMMUNITY HEALTH CENTERS PHARMACY, CNCHC SANPOIL VALLY COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SUE BURKHART (BILLER)
(509) 722-7006
Entity
Organization
Contact information
Practice address
11665 SOUTH HIGHWAY 21, KELLER, WA 99140
(509) 634-7300
(509) 722-7021
Mailing address
P.O. BOX 290, INCHELIUM, WA 99140-0290
(509) 634-7300
(509) 722-7021
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
06/16/2018
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